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1841760717
SURGICAL UNION, LLC
RIDGELAND, MS
NPI
1841760717
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Entity Type
Organization
Authorized Contact
TIM DELONG
Pams Npi Administrator
210-598-2800
Organization Subpart ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-12-04
Last Update Date
2018-12-04
Business Address
SURGICAL UNION, LLC
1060 E COUNTY LINE RD STE 3A # 336
RIDGELAND, MS 39157-1937
Phone number: 601-282-9595
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Mailing Address
SURGICAL UNION, LLC
1060 E COUNTY LINE RD STE 3A # 336
RIDGELAND, MS 39157-1937
Phone number: 601-282-9595
Copy
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